Adhip Mukerjee, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

57331 Issued in MA

Practice address

133 Old Road to 9 Acre Cor
Radiology Department Emerson Hospital
Concord, MA 01742-4159

Phone

(978) 287-3700

Fax

(978) 287-3729

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

North Bridge Imaging Group, LLCGroup PAC ID 3577451178, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerson Hospital - Hospital, W Concord, MA, CCN 220084
• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerson Practice Associates, Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1508020199
  Medicare reassignment Care Compare group NPD
• North Bridge Imaging Group, LLC

  • Diagnostic Neuroimaging (Radiology) Physician
  • Concord, MA
  • NPI 1093838195
  Medicare reassignment Care Compare group NPD
• North Bridge Imaging Group, LLC

  • Vascular & Interventional Radiology Physician
  • Arlington, MA
  • NPI 1396055356
  NPD
• Shields Pet-CT at Emerson Hospital LLC

  • Mobile Radiology Clinic/Center
  • Concord, MA
  • NPI 1760081566
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1376630970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ALDEN RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783719",
            "telephone_number": "978-287-3700",
            "fax_number": "978-287-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "address_2": "RADIOLOGY DEPARTMENT EMERSON HOSPITAL",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-287-3700",
            "fax_number": "978-287-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKERJEE",
        "first_name": "ADHIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "57331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3066703",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margo Magdelana Moskos, M.D.
• Jason Moss
• Mojdeh Badri Mostafavi
• Robert James Moura, M.S., R.PH.
• Mohammad Mourad
• Leslie K Mulcahy, CRNA
• Elizabeth Stone Mulley, PA-C
• Katharine Munsey
• Aliza Jane Murray, BS
• Eileen Murray, M.D.

• Vascular & Interventional Radiology Physician in Concord, MA
• Providers in Concord, MA by specialty
• Vascular & Interventional Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.